MR. JASON T ELLIOTT (AGACNP) – Acute Care Nurse Practitioner, NPI 1275199663

MR. JASON T ELLIOTT (AGACNP) is a healthcare provider. based in Boise, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 61213 (ID). The NPI Number for MR. JASON T ELLIOTT (AGACNP) is 1275199663

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. JASON T ELLIOTT (AGACNP)
NPI
1275199663
Phone
(302) 423-7286
Address
12094 N BARN OWL WAY
Enumeration Date
12 May 2019
Last Update Date
9 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4258185311101
Graduation Year
2018 (8 years ago)
PAC ID
1759616204
Group Practice PAC ID
0547671125
Professional Enrollment ID
I20230314002631
Address ID
WA980527615RE8201XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for MR. JASON T ELLIOTT (AGACNP)

  • 12094 N BARN OWL WAY

    BOISE, ID 837141363

    Phone: (302) 423-7286

    Type: Mailing

  • 190 E BANNOCK ST

    BOISE, ID 837126241

    Phone: (208) 381-1615

    Type: Location

  • 12094 N Barn Owl Way

    Boise, ID 837141363

    Phone: (302) 423-7286

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230314002631INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes20276$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes7750$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes5555$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month2722$0
99497Advance care planning, first 30 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 83714)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547671125View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Where can patients find MR. JASON T ELLIOTT (AGACNP)'s NPI?
You can confirm MR. JASON T ELLIOTT (AGACNP) with NPI 1275199663; it appears in the national provider directory.
Does this profile mean MR. JASON T ELLIOTT (AGACNP) is currently active?
Yes — MR. JASON T ELLIOTT (AGACNP) appears active in the national provider directory.
Can you summarize MR. JASON T ELLIOTT (AGACNP)'s specialty in plain language?
Clinically, the directory lists MR. JASON T ELLIOTT (AGACNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JASON T ELLIOTT (AGACNP)?
The snapshot lists Boise, Idaho for MR. JASON T ELLIOTT (AGACNP); download NPPES for the complete set.
Is MR. JASON T ELLIOTT (AGACNP) a real provider?
This page reflects official NPPES data for NPI 1275199663. Always confirm identity and privileges with the practice and licensing boards.

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